0001140361-12-010332.txt : 20120223
0001140361-12-010332.hdr.sgml : 20120223
20120223153459
ACCESSION NUMBER: 0001140361-12-010332
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120221
FILED AS OF DATE: 20120223
DATE AS OF CHANGE: 20120223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HENDRIX DANIEL T
CENTRAL INDEX KEY: 0001094629
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33994
FILM NUMBER: 12633679
MAIL ADDRESS:
STREET 1: 2859 PACES ROAD
CITY: ATLANTA
STATE: GA
ZIP: 30339
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTERFACE INC
CENTRAL INDEX KEY: 0000715787
STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273]
IRS NUMBER: 581451243
STATE OF INCORPORATION: GA
FISCAL YEAR END: 0317
BUSINESS ADDRESS:
STREET 1: 2859 PACES FERRY RD
STREET 2: STE 2000
CITY: ATLANTA
STATE: GA
ZIP: 30339
BUSINESS PHONE: 7704376800
MAIL ADDRESS:
STREET 1: 2859 PACES FERRY RD
STREET 2: STE 2000
CITY: ATLANTA
STATE: 2Q
ZIP: 30339
FORMER COMPANY:
FORMER CONFORMED NAME: INTERFACE FLOORING SYSTEMS INC
DATE OF NAME CHANGE: 19870817
4
1
doc1.xml
FORM 4
X0304
4
2012-02-21
0
0000715787
INTERFACE INC
IFSIA
0001094629
HENDRIX DANIEL T
2859 PACES FERRY ROAD
OVERLOOK III, SUITE 2000
ATLANTA
GA
30339
1
1
0
0
Chairman, President & CEO
Class B Common Stock
2012-02-21
4
C
0
101625
0
D
611958
D
Class A Common Stock
2012-02-21
4
C
0
101625
0
A
209285
D
Class B Common Stock
2012-02-22
4
F
0
4356
12.61
D
607602
D
Class B Common Stock
4444
I
By 401(k) plan
Conversion of a security exempted pursuant to Rule 16(b)-6b. The reporting person exchanged Class B shares for Class A shares on a one-for-one basis.
A substantial number of such shares are restricted shares subject to a risk of forfeiture under certai circumstances.
/s/ David B. Foshee, Attorney in Fact
2012-02-23